Monterey County - emsa.ca.gov · PDF fileBoard of Supervisors Resolution Monterey County Board...

$: Monterey County - emsa.ca.gov · PDF fileBoard of Supervisors Resolution Monterey County Board Order EMS Plan 2012 168 \I\' est Al~sal Street, 1st Floor Satmas,. CA 9~901 831.755.5006$
Monterey County Emergency Medical Services Agency

EMERGENCY MEDICAL·SERVICES PLAN -{Revised June 2013)

Board of Supervisors Resolution

Monterey County

Board Order

EMS Plan 2012

168 \I\' est Al~sal Street, 1st Floor

Satmas,. CA 9~901 831.755.5006

Upon motion of Supervism Salinas, se-conded by Supcn'isor Potter and can-ted by lhose members present, the Board of Supervisors hereby:

Approved aod authorized the Emergency Medical Services Agency Director t.u sobmit the revi.~ annual Monterey County EM$ Plans f.Jr 20 12 to the California State :Emugency Medical Services Authority.

PASSEL> AND A.DOPTED on tbis 25th day of June 2013, by the following vote, tc>wit:

A YES: Supervisors Am1enta, Calcagno, Salinas and Potter NOES: None ABSENT: Supervisor Parker

I, Gail T Borkow.sk'l, Clerk of the Boacd of s-upervisors of the COlUlty of~fonterey. State o[C.,Jaf<)mia, hereby certify that the forc:~o lng is a tl'Ue copy of an original order of said BCJatcl ofSupen>isors duly made lmd entered in the minutes thcrc:of of Minute Book 76 for the meeting o·n June 25, 2013

Dated: July 9, .20 f3 File Number · U -059 1

G~til T. Borkow~ki, Clerk ofthe Board ofSupc['llisors County of Muntt:Ity, St:lte of Califomia

By-~--=--=------D>cpmy

Monterey County

Board Order

EMS Plan 2012

F1le lO l2.-S74 Ko. l9

108 West Ali$81 Street. 1tt Floet

Salinas.. ell. 93801

831 75.5.5066

Upon nJ()tton of Supetvisor Sai]JiaS. seconded by Supervisor Parker and carried by those mcmbtrs pre~nt. the Board ofSupervi~ hereby·

Approved and authorized the Emergency Medical Services Agency Director to submit LIJe re:vised Monterey County Emergency Medical Ser\'ir:.c:s Plan to the Caliromia Emergency Medi~l Services Authority. (Rev1sed via Supplemental)

PASSED AND ADOPTED on this llf' day of Jt.dy :ZOI2, b-y the following vole, to-v.it:

AYES: NOE$:

Supervisors Armenta, C.alcagi'IO, Salinas, and Parker None

ABSENT: Supervisor Potter

I, Gail T. Borl:ow..ki, Clcrl: of the &ard of$upcn.ison of !he Coo•ll) ofMtnltncy. State ofC•Iii'orni1, he:n:hy c~rtify cha.< tbe foregoing is~ true copy of au orisinal .mler ·of s-l.ld.iloard or Supen iS(U'S duly mack ~nd entered in 01~ lliittulcs tbc:reof of Mamrt~ Book 76 for the m«Uf16 0n July iQ, 2il l 2.

Da!M' Al1811S1l, ?(}!~ File Numb-er: 12· 5?4

ii

Gaii. T. Borkuw:.k.i, Clerk aflhc l!OMd of'Supervis<>rs County of~tont4:rc.y, State of Cruifontia

Dy ~~£Dcffi--J ~Pill)'

EMS Plan 2012

Update Log

Loo Number Changes 2007-12-001 Updated Title page; added log to document changes (page ii); updated

Table of Content from August 2006 EMS Plan (page 1); removed Section 3 - System Resources and Operations from August 2006 EMS Plan (pages 143 -164) and replaced with new Section 3- System Resources and Operations (pages 143 - 165); Removed Section 4-Ambulance Zone Summary from August 2006 EMS Plan (page 165) and replaced with new Section 4- Ambulance Zone Summary (page 166); Removed Section 5 - Resource Directories from August 2006 EMS Plan (pages 166 - 174) and replaced with new Section 5 -Resource Directories (pages 167- 168); updated Standard 1.04-Medical Director (page 23); and updated Standard 1.08- ALS Planning (paoe 27).

2009-04-001 Replacement of Manual (EMS Plan 2008) 2011-05-001 Replacement of Manual (EMS Plan 2009) 2011-05-002 Removed Updated Log to document changes {page ii) from EMS Plan

(2009) and Replaced with new Update Log (2010}; Removed Tables 2, 3, 5, and 8 from EMS Plan (2009) and Replaced with new Tables 2, 3, 5, and 8 (201 0). Table changes and Section 4- Ambulance Zone Summary (no changes) submitted to the EMSA.

2012-05-001 Replacement of Manual (EMS Plan 2011 ); added Trauma Care System

2013-06-001 URdate Replacement of Manual (EMS Plan 2012) and Tables 2 through 12.

iii

EMS Plan 2012

TABLE OF CONTENTS

Board of Supervisors Resolution ............................. ....................... .. ............................... ... ..... ............................. i

Update Log ........................................................................................................................................................ iii

TABLE OF CONTENTS .......................................................................................................................................... IV

EMS Plan (2012) Executive Summary ................................................................................. .............. ...... .... ......... 1

Section A- System Organization and Management ............................................................................... 1

Section B- Staffing and Training .... ............. .. ........................................................................................ 2

Section C - Communications ........ ......................................................................................................... 2

Section D- Response and Transportation .......................... ................................................................... 2

Section E- Facilities and Critical Care ............................................................... .. ................................... 3

Section F- Data Collection and System Evaluation ................................................................................ 3

Section G- Public Information and Education ....................................................................................... 3

Section H- Disaster Medical Response ........... ......................... ............................................................. 3

STANDARDS SUMMARY (MATRIX) ...................................................................................................................... 1

A. SYSTEM ORGANIZATION AND MANAGEMENT ................ .. ............. ...................................... ... ........... 1

8. STAFFING/TRAINING ......................................................................................................................... 2

C. COMMUNICATIONS .......................................................................................................................... 3

D. RESPONSE/TRANSPORTATION ......................................................................... .. ................. .... .......... 4

E. FACILITIES/CRITICAL CARE ................................................................................................................. 5

F. DATA COLLECTION/SYSTEM EVALUATION ................................................. ........................................ 6

G. PUBLIC INFORMATION AND EDUCATION ........................... ...... ..................... ........................ .. .......... 6

H. DISASTER MEDICAL RESPONSE .......................................................................................................... 7

TABLE 2: SYSTEM RESOURCES & OPERATIONS- Organization/Management ........... .. ... ................ ................ 8

TABLE 3: SYSTEM RESOURCES & OPERATIONS · Personnel/Training ............................................................ 14

TABLE 4: SYSTEM RESOURCES & OPERATIONS · Communications ................................................................ lS

TABLE 5: SYSTEM RESOURCES & OPERATIONS · Response/Transportation ..................... ..................... ......... 16

iv

EMS Plan 2012

TABLE 6: RESOURCES DIRECTORY- Facilities/Critical Care ............................................................................ l7

TABLE 7: RESOURCES DIRECTORY · Disaster Medical ••••.•..•.•.••..•..••..••••..•..•..••••......••.••••.•.•.•••..•.•.•..•••.•••••.••••• 18

TABLE 8: RESOURCES DIRECTORY· Response/Transportation Providers ...................................................... 20

TABLE 9: RESOURCES DIRECTORY- Facilities ............................................ , ................................................. 52

TABLE 10: RESOURCES DIRECTORY - Approved Training Programs .. ... ........................................................... 53

TABLE 11: RESOURCES DIRECTORY- EMS Dispatch Agenty ........................................................................... 54

TABLE 12: AMBULANCE ZONE SUMMARY ........................................................................... .......................... SS

v

EMS Plan 2012

EMS Plan (2012) Executive Summary

This document is the 2012 revision and replacement of the Monterey County EMS Plan. Of the 122 requirements identified by the California EMS Authority, there are only three (3) areas where the Monterey County EMS Plan does not currently meet the state-specified, minimum standards. (See Table 1 - Standards Summary Matrix for additional information.)

1. Trauma System Evaluation (6.10): Currently, no hospital has been designated as a trauma care center in Monterey County; nor is there a 'trauma registry. ' There is interest from two local hospitals to achieve trauma center designation at the Level-l! status. The local trauma care system plan was revised in 2011 to allow the designation process if a hospital(s} seeks designation, and was approved by the EMS Authority. A Request for Qualification (RFQ) was released in 2012; projected date for designating a local trauma care center is December 2014.

2. Agreements for Medical Mutual Aid (8.10): There is an effective and efficient over-arching Medical Mutual Aid program/process administered through the California EMS Authority and Emergency Management Agency. Efforts to develop local mutual aid agreements with Santa Cruz and San Benito counties have not been realized and have been suspended by shared agreement due to the collaborative activities of the state, region, and Bay Area.

3. Designation and Establishment of Casualty Collection Points (8.11 & 8.12}: Casualty Collection Points (CCPs) are not dearly defined and differentiated from Field Treatment Sites (FTSs) in State guidance and thus are not designated by the Monterey County EMS Agency. However, the Monterey County Health Department does plan for the use of Alternate Care Sites (ACSs). The federal Public Health Emergency Preparedness grant, administered through the California Department of Public Health is responsible for local ACS planning and implementation.

Section A- System Organization and Management: This section covers a wide-range of administrative and operational activities. Each of the 100 plus entities which make-up the Monterey County EMS system provides a vital and specific service. They are the health care team that moves an emergency patient from the crisis to resolution. California law mandates counties (Board of Supervisors) designate a local EMS Agency to plan the EMS system and coordinate the diverse activities of participants. The EMS Agency provides technical and clinical expertise in data analysis, disaster planning, system and resource management, quality assurance and performance monitoring, development and maintenance of EMS medical protocols and policies, trauma care, and the administration of the Primary EMS Provider contract (exclusive operating area). In addition, the Emergency Medical Care Committee advises the Board of Supervisors and the EMS Director on EMS system issues, funding and budget; ensures that all EMS constituents are actively engaged in decisions regarding the management of local EMS system resources; and provides inputs on the development and implementation of County EMS procedures, policies, and protocols.

1

EMS Plan 2012

Section 8- Staffing and Training: In 2011, Monterey County Service Agreement 74 {CSA 74) funds were re-allocated to local cities and special districts for providing EMS system training and equipment. All participants agreed to train/certify their employees/volunteers to at least the Public Safety Responder level in accordance with the Department of Transportation national standard first responder curriculum and California Code of Regulations Division 9 directives (Chapters 1.5, 2, and 4); afford and/or assist with all necessary training to satisfy the minimum training requirements for small, remote, and volunteer first responding agencies that might not have their own training resources; and provide technician skills verification for re-certification at no charge to non-affiliated personnel through their respective training programs and instructors. In exchange for receiving available CSA74 funds, the EMS Agency would no longer provide direct EMS training or equipment to local first responders, and close their American Heart Association CPR Training Center. The EMS Agency continues to approve local EMT training programs and Continuous Education EMS providers; monitor first responder and hospital EMS training; orchestrate disaster medical response preparedness activities; certify Emergency Medical Technicians; accredit licensed paramedics; and develop/maintain applicable practices, policies, and protocols.

Section C- Communications: The Monterey County EMS Communications System Manual is an Appendix to EMS Plan and reflects current voice, data, auxiliary, and radio communications. With compliance of the federal-mandates regarding narrow banding VHF and UHF and opportunities to improve EMS dispatch, command, tactical, and inter-agency/discipline connectivity. EMS first responders and providers are in the process of replacing non-NGEN equipment to utilize a developing trunked 700 mHz system. Monterey County Telecommunication and Emergency Communications are finalizing that infrastructure with innovative and state-of-the-art technology; improving contingency and remote communications; eliminating the dated UHF MEDNET communication network; and replacing the hospita1800 MHz Medical Disaster Communications System. It is anticipated that all EMS system communication and infrastructure will be 'updated' and fully operational in 2014.

Section 0- Response and Transportation: The Monterey County Board of Supervisors has defined, through ordinance, boundaries as exclusive EMS operating areas and ambulance licensing. In 2011, a Contract Compliance Working Group (CCWG) was established to review/monitor the contracted-performance of the Primary EMS Provider (AMR); to identify new empirical criteria to better evaluate the contract provider; and provide clinical and technical advice to the EMS Agency and ambulance provider. CCWG activities included the review/endorsement of AMR's third one-year contract extension request; correcting response boundary GIS/CAD reference-maps; and endorsing the contracts first rate increase of 2.75%. The CCWG is also reviewing a comprehensive contract summary-matrix for status and compliance. The Primary EMS Provider {AMR) is compliant; there are no significant contract or statue discrepancies or deficiencies noted. Medical and rescue aircraft policies and procedures are being revised, and will be impacted by the pending designating of a local trauma care center. Finally, all local Paramedic Service Provider (ALS) Agreements have been revised and implemented.

2

EMS Plan 2012

Section E- Facilities and Critical Care: The EMS Agency has written agreements with all four acute-care hospitals in Monterey County. Community Hospital of the Monterey Peninsula, Natividad Medical Center, and Salinas Valley Memorial Health Care System are designated EMTParamedic base hospitals. Mee Memorial Hospital is a designated receiving hospital. Transfer agreements and policies are in place to transfer patients from STEM I referral hospitals to STEM I receiving centers (CHOMP and SVMHS); in 2012, CHOMP and SVMHS were designated as Stroke Centers. There are no pediatric emergency medical/critical care system plans being proposed or established. The federal Hospital Preparedness Program grant administered through the California Department of Public Health has been instrumental in improving hospital evacuation, medical disaster, and multi casualty event preparedness activities and coordination.

Section F - Data Collection and System Evaluation: Current EMS Policy establishes a system-wide quality-improvement (QI) program to evaluate the services provided within the Monterey County EMS system. The EMS Agency has executed written agreements with base hospitals, first-responder agencies. and EMT-Paramedic service providers to participate in this program. All non-emergency transport providers are also mandated to participate under the terms of their County authorization. The EMS Policy/Procedure Manual also includes "Quality Improvement Program Guidelines" for the various system participants. As part of the Ql program, each participating agency has designated an EMS liaison to coordinate with other agencies as necessary. The primary objective of the Ql Program is the implementation of a viable electronic patient care report (ePCR) for data analysis and management; evaluation and audit; policy and protocols review/revision; and development of effective and realistic performance indicators.

Section G - Public Information and Education: The primary EMS provider (AMR) has designated a Community Relations Manager/Field Supervisor that works with EMS stakeholders, local health-care professionals, and emergency management to design, develop and implement a comprehensive (county-wide) community service and education program and plan for the County. The primary EMS provider annually updates their program and plan and provides to Emergency Medica l Care Committee for review and endorsement.

Section H- Disaster Medical Response: Monterey County EMS system, medical, public health, and emergency management representatives continue to identify, assess. mitigate. plan, and prepare for potential natural, technical, and human threats to the public and infrastructure. The federal Hospital Preparedness Program and Public Health Emergency Preparedness grants administered through the California Department of Public Health have funded/supported improvements in protecting public safety; responding and managing disaster response; organizing and distributing private, local, state, federal resources; and enhancing operation area coordination, communication and information processing.

3

TABlE 1- SYSTEM ORGANIZATION AND MANAGEMENT

STANDARDS SUMMARY (MATRIX)

A . SYSTEM ORGANIZATION AND MANAGEMENT

Agency Administration Does not meet Standard

1.01 Local EMS Agency Structure

1.02 Local EMS Agency Mission

1.03 Public Input

1.04 Medical Director

Planning, Activities Does not meat Standard

1.05 System Plan

1.06 Annual Plan Update

1.07 Trauma Planning

1.08 Advanced Life Support Planning

1.09 Inventory of Resources

1.10 Special Populations

1.11 System Participants

Regulatory Activities Does not meet Standard

1.12 Review & Monitoring

1.13 Coordination

1.14 Policy & Procedures Manual

1.15 Compliance w/Policies

System Finances Does not meet Standard

1.16 Funding Mechanism

1

EMS Plan 2012

Meets Minimum Standard

X

X

X

X


X

X

X

X

X

X

X


-X

X

X

X


X

EMS Plan 2012

TABLE 1· SYSTEM ORGANIZATION AND MANAGEMENT

Medical Direction Does not meet Standard Meets Minimum Standard

1.17 Medical Direction X

1.18 Quality Assurance/Quality X Improvement

~

1.19 Policies, Procedures, Protocols X

1.20 Do-Not-Resuscitate Policy X

1.21 Determination of Death X

1.22 Reporting of Abuse X

1.23 lnterfacility Transfer X

Enhanced Level: Advanced Life Does not meet Standard Meets M;nlmum Standard Support

1.24 Advanced Life Support Systems X

1.25 On-Line Medical Direction X

Enhanced Level: Trauma Care Ooes not meet Standard Meets Minimum Standard System

1.26 Trauma System Plan X

Enllanced Level: Pediatric Emergency Medical and Criticar Care Does not meet Standard Meets Minimum Standard System

1.27 Pediatric System Plan N/A

Enhanced Level: Exclusive Does not meet Standard Meets Min'mum Standard

Operating Areas

1.28 Exclusive Operating Area Plan X

B. STAFFING/TRAINING

Local EMS Agency Does not meet Standard Meets MinJ~mum Standard

2.01 Assessment of Needs X

2.02 Approval of Training X

2.03 Personnel X

2

EMS Plan 2012

TABLE 1- SYSTEM ORGANIZATION AND MANAGEMENT

Dispatchers Does not meet Standard Meets Minimum Standard

2.04 Dispatch Training X

First Responders (n&n .. transporting) Does not meet Standard Meets Minimum Standard

2.05 First Responder Training X

2.06 Response X

2.07 Medical Control X

Transporting Personnel Does not meet Standard Meets Minimum Standard

2.08 EMT-1 Training X

Hospital Does not meat Standard Meets Minimum Standard

2.09 CPR Training X

2.10 Advanced Life Support X

Enhanced Level: Advanced Ufe Does not meet Standard Meets Minimum Standard

Support

2.11 Accreditation Process X

2.12 Early Defibrillation X

2.13 Base Hospital Personnel X

C. COMMUNICATIONS

Communications Does not meet Standard Meets Minimum Standard

Equipment

3.01 Communication Plan X

3.02 Radios X -

3.03 lnterfacility Transfer X

3.04 Dispatch Center X

3.05 Hospitals X

3.06 Multi-Casualty Incidents X

Public Access Does not meet Standard Meets M"nimum Standard

3.07 9-1-1 P Ianning/Coord ination X

3.08 9-1-1 Public Education X

Resource Management Does not meet Standard Meets Minimum Standard

3.09 Dispatch Triage X

3

EMS Plan 2012


113.10 Integrated Dispatch X I)

D. RESPONSE/TRANSPORTATION

Universal Level Does not meet Standard Meets Minimum Standard

4.01 Service Area Boundaries X

4.02 Monitoring X

4.03 Classifying Medical Requests X

4.04 Scheduled Responses X

4.05 Response T ime Standards X

4.06 Staffing X

4.07 First Responder Agencies X

4.08 Medical & Rescue Aircraft X

4.09 Air Dispatch Center X

4.10 Aircraft Availability X

4.11 Specialty Vehicles X

4.12 Disaster Response X

4.13 Inter-county Response X

4.14 Incident Command System X

4.15 Multi-Casualty Incident Plans X

Enhaneed Level: Advanced Life Does not meet Standa!!d Meets Minimum Standard Support

4.16 Advanced Life Support Staffing X -4.17 Advanced Life Support

X Equipment

Enhanced Level: Ambulance Does not meet Standard Meets Minimum Standard Regulation

4.18 Compliance X

Enhan&ed Level: Exclusive Does not meet Standard Meets Minimum Sta11dard Operating Permits

4.19 Transportation Plan X

4.20 Grandfathering X

4.21 Compliance X

4

EMS Plan 2012


114.22 Evaluation X II

E. FACILITIES/CRITICAL CARE

Universal Level Does not meet Standard Meets Mlnlm\llm Stamdard

5.01 Assessment of Capabilities X

5.02 Triage & Transfer Protocols X . 5.03 Transfer Guidelines N/A

5.04 Specialty Care Facilities X

5.05 Mass Casualty Management X

5.06 Hospital Evacuation X

Enhanced Level: Advanced Ufe Does not meet Standard Meets Minimum Standard Support

5.07 Base Hospital Designation X

Enhanced Level: Trauma Care Does not meet Standard Meets Minimum Standard System

5.08 Trauma System Design X

5.09 Public Input X

Enhanced Level: Pediatric Does no1 meet Standard Meets Minimum Standard Emergency Medical and Critical Care System

5.10 Pediatric System Design N/A

5.11 Emergency Departments N/A

5.12 Public Input N/A -

Enhance,crt Level: Otlller Specialty Does naf meet Standar:d Meets Minimum Standard Care Systems

5.13 Specialty System Design X

5.14 Public Input X

5

EMS Plan 2012


F. DATA COLLECTION/SYSTEM EVALUATION


6.01 Quality Assurance/ Quality X Improvement Program

6.02 Pre-hospital Records X

6.03 Pre-hospital Care Audits X

6.04 Medical Dispatch X

6.05 Data Management System X

6.06 System Design Evaluation X

6.07 Provider Participation X

6.08 Reporting X

Enhanced Level: Advanced Life Does not meet Standard Meets Minimum Standard Support

6.09 Advanced Life Support Audit X

Enhanced Level: Trauma Care Does not meet Standard Meets Minimum Standard System

6.10 Trauma System Evaluation X

6.11 Trauma Center Data N/A

G. PUBLIC INFORMATION AND EDUCATION

Universal Level Does not meet Standard Meets M'nimum Standard

7.01 Public Information Materials X -7.02 Injury Control X

7.03 Disaster Preparedness X

7.04 First Aid & CPR Training X

6

EMS Plan 2012


H. DISASTER MEDICAL RESPONSE


8.01 Disaster Medical Planning X

8.02 Response Plans X

8.03 Hazardous Materials Training X

8.04 Incident Command System X

8.05 Distribution of Casualties X

8.06 Needs Assessment X

8.07 Disaster Communications X

8.08 Inventory of Resources X

8.09 DMAT N/A

8.10 Mutual Aid Agreements X

8.11 Casualty Collection Point X Designation

8.12 Establish Casualty Collection X Points

8.13 Disaster Medical Training X

8.1 4 Hospital Plans X

8.15 Inter-hospital Communications X

8.16 Pre-hospital Agency Plans X

Enhanced Level: Advanced Life Does not meet Standard Meets Minimum Standard Support

8.17 Advanced Life Support Policies X

Enhanced Level: Specialty Care Does not meet Standard Meets Minimum Standard

Systems

8.18 Specialty Center Roles X

Enhanced Level: Exclusive Operating Areas/Ambulance Does not meet Standard Meets Minimum Standard Regulation

8.19 Waiving Exclusivity X

7

EMS Plan 2012

TABLE 2 · SYSTEM RESOUCES AND OPERATIONS

TABLE 2: SYSTEM RESOURCES & OPERATIONS - Organization/Management

Reporting Year: Fiscal Year 2012-2013

County: Monterey

1. Percentage of population served by each level of care: 100% Advanced Life Support

2. Type of agency: County Health Department

3. The person responsible for day-to-day activities of EMS agency reports to : Other- Director of Health (Ray Bullick)

4. Indicate the non-required functions that are performed by the agency:

Implementation of exclusive operating areas (ambulance franchising) Yes

Designation of trauma centers/trauma care system planning No

Designation/approval of pediatric facilities N/A

Designation of other critical care centers N/A

Development of transfer agreements Yes

Enforcement of local ambulance ordinance Yes

Enforcement of ambulance service contracts Yes

Operation of ambulance service (Contracted) Yes

Continuing education Yes

Personnel training Yes

Operation of EMS dispatch center (Contracted) Yes

Non-medical disaster planning Yes

Administration of critical incident stress debriefing (CISD) team Yes

Administration of disaster medical assistance team (DMAT) N/A

Administration of EMS Fund (Senate Bill12/612)- Maddy Yes

Other: -----------------

8

TABLE 2- SYSTEM RESOUCES AND OPERATIONS

5. EXPENSES (FY 12/13)

Salaries and benefits (All but contract personnel)

Contract Services (e.g., medical director)

Operations (e.g., copying, postage, facilities)

Travel

Fixed assets

Indirect expenses (overhead)

Ambulance subsidy

EMS Fund payments to physicians/hospitals

Dispatch center operations {non-staff)

Training program operations

Other:

TOTAL EXPENSES

6. SOURCES OF REVENUE

Special project grant(s) from EMSA

Preventive Health and Health Services Block Grant

Office of Traffic Safety

State general fund

County general fund

Other local tax funds (e.g., EMS district)- CSA74 Fund

County contracts (e.g., multi-county agencies)

Certification fees

Training program approval fees

Training program tuition/average daily attendance funds (ADA)

Job Training Partnership Act (JTPA) funds/other payments

Base hospital application fees

9

EMS Plan 2012

639,245

382,000

249,296

9,480

N/A

54,515

N/A

0

0

0

N/A

$1,334,536

0

0

0

0

0

1,011,536

0

0

0

0

0

0

TABLE 2 ·SYSTEM RESOUCES AND OPERATIONS

Base hospital designation fees

Trauma center application fees

Trauma center designation fees

Pediatric facility approval fees

Pediatric facility designation fees

Other critical care center application fees

Type:--------

Other critical care center designation fees

Type: __________________ __

Ambulance service/vehicle fees

Contributions

EMS Fund (SB 12/612}

Other grants

Other fees

Other: mise

Other: state reimbursements

TOTAL REVENUE

EMS Plan 2012

0

0

0

0

0

0

0

0

0

320,000

0

0

3,000

0

$1,334,536

TOTAL REVENUE SHOULD EQUAL TOTAL EXPENSES. IF THEY DON'T, PLEASE EXPLAIN BELOW.

7. FEE STRUCTURE (FY-12/13)

We do not charge any fees: FALSE

First responder certification 0

EMS dispatcher certification 0

EMT -I certification 0

EMT-1 recertification 0

EMT-defibrillation certification 0

E MT -defibrillation recertification 0

EMT -II certification 0

10

EMS Pian 2012

TABLE 2- SYSTEM RESOUCES AND OPERATIONS

EMT-11 recertification 0

EMT-P accreditation 0

EMT-1 training program approval 0

EMT- 11 training program approval 0

EMT-P training program approval 0

Mobile Intensive Care Nurse/ Authorized Registered Nurse (MICN/ARN} certification 0

MICN/ARN recertification 0



EMT-P training program approval 0

Base hospital application 0

Base hospital designation 0

Trauma center application 0

Trauma center designation 0

Pediatric facility approval 0

Pediatric facility designation 0

Other critical care center application 0

Other critical care center designation 0-

Ambulance service license 0

Ambulance vehicle permits 950/veh icle/year

11

EMS Plan 2012

TABLE 2 - SYSTEM RESOUCES AND MANAGEMENT

FTE TOP SALARY BENEFITS CATEGORY ACTUAL TITLE POSITIONS BY HOURLY (%of Salary) COMMENTS

(EMS ONLY) EQUIVALENT

EMS Admin./Coord./Director EMS Director 1.0 60.68 40.85%

Asst. Admin./Admin. EMS Analyst 1.0 35.87 40.85% Asst./Admin. Mgr. Finance Manager 0.65 44.79 Contracted

Management Analyst Ill 1.0 42.62 40.85%

Trauma Coordinator Health Program Coordinator 1.0 44.96 40.85%

Medical Director Medical Director 0.2 155.00 Contracted

Executive Secretary Secretary 1.0 21.33 40.85%

Include an organizational chart of the local EMS agency and a county organization chart(s) indicating how the LEMSA fits within the county/multi-county structure (below).

12

TABLE 2 • SYSTEM RESOUCES AND MANAGEMENT

l\IONTEREY COlTNTY El\IERGENCY l\IEDICAL SERYICES <ElVIS) -\GENCY ORG~\i\ilZATION (SEPTEl\lBER 2011)

r······ ···----·-.. ---····-• 1\fONfEREY COUNTY I BOARD OF SlJPER\1SORS Legend:

Emergt>ucy M1.'11Ucru Care 4 - - 1 I Direct Report.

I COJDlaitt('E' (EMCC) I Comtty A1hnini~ tJ:atiYE'I Officer Advisement

I I --· ___ ..,. -- ....

l . I

: '

I EMS Opemtlous Committee I

' Director of Health ' ' R~y Bulli<'k I I . . . 0

~MS .l\1;edical Dire~tpr •t 0 EMS Director EMS Secretary 0

JamE-s Stubblefil"lll, M.D L ...... Kirk Sdunitt (1.0 FIE) -+ Mnry Bt omuigg (0.2 FTE) (1.0 FTE)

l I . . .

Financial Manager I ' . l\l(>.tti.-nl Advbo1y C'oliUldtte-..-

I . Dl'ruu.a Gmm . ' (0.75 FTE) ' . . I .

EMS Plan 2012

~-------------------- -- -- ------· HPP Coordinator •2 I I I

Trauma/Ql Coordinator EMS Analyst Management~alystTII Asltby Pa~'lll' Ste1•hen Brooks J olm ShE-rwin

(1.0 FTE) (1.0 FTE) (1.0 FTE)

• 1. EMS Me4i_cal.Directo.r is a contracted (PSA) position and paid through Services/Supplies. •2. Hospital Preparedness Program (HPP) Coordinator position funded through the HPP Grant.

13

Tamara Chntllmm (0.5 FTE)

EMS Plan 2012

TABLE 3- SYSTEM RESOUCES AND OPERATIONS- Personnel/Training

TABLE 3: SYSTEM RESOURCES & OPERATIONS - Personnel/Training

Reporting Year: Calendar Year 2012

EMT -Is EMT -lis EMT- Ps MICN

Total Certified 652 N/A N/A

Number newly certified this year 74 N/A N/A

Number recertified this year 294 N/A N/A

Total number of accredited personnel on January 1 N/A N/A 172 N/A of the reporting year

Number of certification reviews resulting in:

a) formal investigations 16 N/A N/A

b) probation 1 N/A N/A

c) suspensions 1 N/A N/A

d) revocations 1 N/A N/A

e) denials 0 N/A N/A

f) denials of renewal 0 N/A N/A

g) no action taken 14 N/A N/A N/A

1. Early defibrillation: a) Number of EMT-1 (defib) certified: Unknown b) Number of public safety (defib) certified (non-EMT-1): Unknown

2. Do you have a first-responder training program? Yes Administered by respective public safety/parent agencies.

14

EMS Plan 2012

TABLE 4- SYSTEM RESOUCES AND OPERATIONS- Communications

TABLE 4: SYSTEM RESOURCES & OPERATIONS· Communications

County: Monterey


1. Number of Primary Public Service Answering Point (PSAP): 3 a. Monterey County Emergency Communications Center (9-1-1) b. California Highway Patrol- Monterey c. City of Carmel

2. Number of secondary PSAPs: 1 a. CALFIRE Emergency Communications Center- Monterey

3. Number of dispatch centers directly dispatching ambulance: 1

4. Number of EMS dispatch centers utilizing EMS guidelines: 1

5. Number of designated dispatch centers for EMS aircraft: 1

6. Who is your primary dispatch agency for day-to-day emergencies? Monterey County Emergency Communications Center (9-1-1)

7. Who is your primary dispatch agency for a disaster? Monterey County Emergency Communications Center (9-1-1)

8. Do you have an operational area disaster communication system? Yes

a. Radio primary frequency: 458.4/453.4 b. Other methods: EMSystem, TENS, EAS, CAHAH, Faxes, Internet Text

Messages, Cel, Commercial Satellite Phones, etc. c. Can all medical response units communicate on the same disaster

communications system? Yes d. Do you participate in the Operational Area Satellite Information System

(OASIS)? Yes e. Do you have a plan to utilize Radio Amateur Civil Emergency System

(RACES) as a back-up communications system? Yes 1) Within the operational area? Yes 2) Between operational area and the region and/or state? Yes

15

EMS Plan 2012

TABLE 5 ·SYSTEM RESOUCES AND OPERATIONS- Response/Transportation

TABLE 5: SYSTEM RESOURCES & OPERATIONS· Response/Transportation


Early Defibrillation Providers

1. Number of EMT-Defibrillation provider: 43

SYSTEM STANDARD RESPONSE TIMES* (90TH PERCENTILE)

METRO/URBAN SUBURBAN/ WILDERNESS SYSTEMWIDE RURAL

BLS and CPR capable first responder N/A N/A N/A N/A

Early defibrillation responder N/A N/A N/A N/A

Advanced life support responder 8 minutes 12 minutes N/A N/A

Transport Ambulance 8 minutes 12 minutes ASAP N/A

16

EMS Plan 2012

TABLE 6- SYSTEM RESOUCES AND OPERATIONS- Facilities/Critical Care

TABLE 6: RESOURCES DIRECTORY- Facilities/Critical Care

Reporting Year: 2012

Trauma patients: • Number of patients meeting trauma triage criteria: Unknown • Number of major trauma victims transported directly to a trauma center by ambulance:

Unknown • Number of major trauma patients transferred to a trauma center: Unknown • Number of patients meeting triage criteria who weren't treated at a trauma center:

Unknown

Emergency Departments: • Total number of emergency departments: 4 • Number of referral emergency services: 0 • Number of standby emergency services: 0 • Number of basic emergency services: 4 • Number of comprehensive emergency services: 0

Receiving Hospitals: • Number of receiving hospitals with written agreements: 4 • Number of base hospitals with written agreements: 3

17

EMS Plan 2012

TABLE 7- SYSTEM RESOUCES AND OPERATIONS - Disaster Medical

TABLE 7: RESOURCES DIRECTORY - Disaster Medical

Reporting Year: 2012

County: Monterey

SYSTEM RESOUCES

1. Casualty Collections Points (CCP)- Replaced by Field Treatment Sites (FTS) and

Alternate Care Sites (ACS) ... see 8.11 and 8. 12

a. Where are your CCPs located? N/A

b. How are they staffed? N/A

c. Do you have a supply system for supporting them for 72 hours? N/A

2. CISD

Do you have a CISD provider with 24 hour capability? Yes

3. Medical Response Team

a. Do you have any team medical response capability? No

b. For each team, are they incorporated into your local response plan: N/A

c. Are they available for statewide response? N/A

d. Are they part of a formal out-of-state response system? N/A

4. Hazardous Materials

a. Do you have any HazMat trained medical response teams? Yes

b. At what HazMat level are they trained? Level A (Highest)

c. Do you have the ability to do decontamination in an emergency room? Yes

d. Do you have the ability to do decontamination in the field? Yes

OPERATIONS

1. Are you using a Standardized Emergency Management System (SEMS) that incorporates a form of Incident Command System (ICS} structure? Yes

2. What is the maximum number of local jurisdiction EOCs you will need to interact with. in a disaster? 12 Cities plus approximately 20 special districts/agencies

18

EMS Plan 201 2

TABLE 7- SYSTEM RESOUCES AND OPERATIONS - Disaster Medical

3. Have you tested your MCI Plan this year in a:

a. Real event? Yes

b. Exercise? Yes

4. List all counties with which you have a written medical mutual aid agreement. None

5. Do you have formal agreements with hospitals in your operational area to participate in

disaster planning and response? Yes

6. Do you have a formal agreements with community clinics in your operational area to participate in disaster planning and response? No

7. Are you part of a multi-county EMS system for disaster response? No

8. Are you a separate department or agency? No

9. If not, to whom do you report? Monterey County Health Department

10. If your agency is not in the Health Department, do you have a plan to coordinate public health and environmental health issues with the Health Department? N/A

19

TABLE 9- Resource Directory Facilities

TABLE 9: ·RESOURCES DIRECTORY - Facilities

County: Monterey

A. Facility: Natividad Medical Center Address: 1330 Natividad Road, Salinas 93906 Telephone Number: (831) 755-4185 Written Contract: Yes Service: Basic Emergency Base Hospital: Yes Bum Center: No PCCC: No; EDAP: No; PICU: No Trauma Center: No Trauma level: N/A

B. Facility: Community Hospital of the Monterey Peninsula (CHOMP) Address: 23625 Holman Highway. Monterey 93940 Telephone Number: ( 831) 624-5311 Written Contract: Yes Service: Basic Emergency Base Hospital: Yes Burn Center: No PCCC: No; EDAP: No; PICU: No Trauma Center: No Trauma level: N/A

C. Facility: Salinas Valley Memorial Health Care System (SVMHS) Address: 450 East Romie lane, Salinas 93901 Telephone Number: (831) 757-4333 Written Contract: Yes Service: Basic Emergency Base Hospital: Yes Burn Center: No PCCC: No; EDAP: No; PICU: No Trauma Center: No Trauma Level: N/A

D. Facility: George L. Mee Memorial Hospital Address: 300 Canal Street, King City 93930 Telephone Number: (831} 385-6000 Written Contract: Yes Service: Basic Emergency Base Hospital: No Burn Center: No PCCC: No; EDAP: No; PICU: No Trauma Center: No Trauma Level: N/A

52

EMS Plan 2012

EMS Plan 2012

TABLE 10-Resource Directory- Approved Training Programs

TABLE 10: RESOURCES DIRECTORY- Approved Training Programs

County: Monterey


A. Training Institution: Monterey Peninsula College Address: 980 Fremont Street, Monterey, CA 93940 Telephone Number: (831) 594-5207 Student Eligibility: EMT-1 Program Level: Open to the Public Expiration Date: 8/31/2016 Cost of Basic Training Course: $310+Books ($180) Cost of Refresher Training Course: $57+Books ($180)

Number of students completing training per year Initial Training: 125 Refresher Training: 10

Number of courses per year Initial Training: 2 Refresher Training: 1

B. Training Institution: Hartnell College Address: 411 Central Avenue, Salinas, CA 93901 Telephone Number: (831) 770-6146 Student Eligibility: EMT -I Program Level : Open to the Public Expiration Date: 11 /30/2016 Cost of Basic Training Course: $195 Cost of Refresher Training Course: $340

Number of students completing training per year Initial Training: 52 Refresher Training: 0

Number of courses per year Initial Training:2 Refresher Training: 0

Continuing Education: 0




C. Training Institution: Monterey Peninsula Unified School District (ROP) Address: 700 Pacific Street, Monterey, CA 93940 Telephone Number: (831) 373-4600 Student Eligibility: EMT-1 Program Level: Open to the Public Expiration Date: 3/31/2016 Cost of Basic Training Course: None (ROP) Cost of Refresher Training Course: N/A

Number of students completing training per year Initial Training:20 Refresher Training: 0

Number of courses per year Initial Training: 1 Refresher Training: 0

53



TABLE 11-Resource Directory - EMS Dispatch Agency

TABLE 11: RESOURCES DIRECTORY- EMS Dispatch Agency

County: Monterey


Name: American Medical Response - Monterey

Address: 4548 A Street, Marina. CA 93933

Telephone Number: ( 831 ) 718-9562

Primary Contact: Michael Esslinger (AMR Operations Manager)

Written Contract: Yes

Ownership: Private

Medical Director: Yes

Day-to-Day Response: Yes Disaster Response: Yes

Number of Personnel Providing Services

EMD Training: 12

BLS:73

EMT-D: N/A

LALS: N/A

ALS:80

Other: N/A

54

EMS Plan 2012

TABLE 8 - Resource Directory

TABLE 8: RESOURCES DIRECTORY - Response/Transportation Providers (2012)

EMS System Provider (Agency) Amencan Med1cal Response (AMR) Big Sur V~unteer Fire Brigade cachagua Fire Protection District CALFIRE (Aromas) CALFIRE (Carmel Highlands) CALFIRE (Cypress) CALFIRE (Pebble Beach) CALFIRE (Soledad) CALFIRE (South Monterey Col.lnty} CALSTAR' Camp Roberts Fire CHP (Air} Paso Robles· City of Carmel Ambulance• Ci1y of Martna Fire Department

.

City of Monterey Fire DepartmenUContracts " City of Salinas Fire Department City of Seaside Fire Department Department of Corrections (Soledad} Fort Hunter-Liggett Fire• Gonzales Volunteer FD Greenfield Volunteer FD King CUy Volunteer Fire Department Mercy Air" Mid Coast Fire Brigade Monterey County Par1<s Department Monterey County Reg10nal Fire District• Monterey Peninsula Airport Fire Department

North County Fire Prottection District Presidio of Monterey Fire Department Reach Air' Spreckels Fire

"

Number of Ambul• nces

18 0 0 0 0 0 0 0 0 5 0 1 2 0 0 0 0 0 2 0 0 0 1 0 0 4 0

0 0 0 0 33

Totilll Ambulances (tllmber) In

Fleet 30

0 0 0 0 0 0 0 0 8 0 1 2 0 0 0 0 0 2 0 0 0 2 0 0 4 0

0 0 0 0 49

Dally Aote rage

Ambuta~Kes

(Number) at Noon

16 0 0 0 0 0 0 0 0 a 0

0 0 0 0 0 2 0 0 0 1 0 0 1 0

0 0 0 0 32

l ewl of Service

ALS BLS BLS BLS ALS ALS ALS BLS BLS ALS BLS ALS ALS BLS BLS ALS BLS BLS ALS BLS BLS BLS ALS BLS BLS ALS BLS BLS BLS ALS BLS

EMS Tramport

IYfN) Yes No No No No No No No No Yes No Ye& Yes No No No No No Yes No No No Yes No No Yes No

No No Yes No

Sei'VIce fAir/Oroundl

Ground Ground Ground Ground Ground Ground Ground Ground Ground

Air Ground

Air Ground Ground Ground Ground Ground Ground Ground Ground Ground Ground

Air Ground Ground Ground Ground

Ground Ground

Air Ground

Total Responses (CY 2012)

27,863

463

14 841

458

4 6

1.212

13

30,932

Number Emergency Responses (CY 2012)

25,575

463

14 841

456

46

1,212

0

28,609

Number Non

Emergency Respon~~ea

(CY 2012) 2,308

0

0 0

0

2

0

13

2,323

Note 1: City of Monterey Fire Department includes the cities of Carmel. Pacific Grove, Sand, and Monterey. Note 2: City of Seaside Fire Department includes the c ities of Seaside and Del Rey Oaks.

20

Totll TnillllpCirts (CYZ012)

18,851

348

9 585

84

18

717

13

20,625

EMS Plan 2012

Numll• r anergenq TN nlllpOrts (CYI012)

16.S48

348

9 558

84

17

717

0

18,281

Number Non

lmergen~ T111n.,rts (CY201~

2,303

0

0 0

0

0

13

2,317

TABLE 8- Resource Directory

County: MONTEREY-01

Provider: American Medical ResQonse - West

Address: 4548 A Street, Marina, 93933

Phone#: {831 } 718-9555

Written Contract: Medical Director:

~ Yes 0 No [81 Yes 0 No

Ownership: If Public:

0 Public 0 Fire [8J Private D Law

0 Other Explain:

27,883 Total number of responses 25,575 Number of emergency responses 2,308 Number of non-emergency responses

--- - Total number of responses ---- Number of emergency responses ____ Number of non-emergency responses

EMS Plan 2012

Response Zone: See Table 11

Number of Ambulances : 18

Number of Ambulance Vehicles in Fleet: 30

Average Number of Ambulances on Duty at 12:00 p.m. (noon) on any Given Day: 18

S~stem Available 24/7 Service:

~ Yes 0 No rgj Transport [81 Ground 0 Non-Transport 0 Air 0 Water

ff Public: If Air: Air Classification:

0City 0 County 0 Rotary 0 Auxiliary Rescue 0 State 0 Federal 0 Fixed Wing D Air Ambulance 0 Fire District 0 ALS Rescue

0 BLS Rescue

Transporting Agencies 18.851 Total number of transports 16,548 Number of emergency transports

2,303 Number of non-emergency transports

Air Ambulance Services

21

_ _ __ Tota l number of transports _ ___ Number of emergency transports

Number of non-emergency transports - - - -


County: MONTEREY-02

Provider: Big Sur Volunteer Fire Brigade

Address: PO Box 520, Big Sur, 93920

Phone#: (831) 667-2113

Written Cont ract: Medical Director:

D Yes~ No ~ Yes 0 No


(8] Public ~ Fire 0 Private 0 Law

0 Other Explain:

--- - Total number of responses

- - - - Number of emergency responses

---- Number of non-emergency responses

_ _ _ _ Total number of responses _ _ _ _ Number of emergency responses

Number of non-emergency responses --- -

Response Zone:

Number of Ambulances:

EMS Plan 2012

Big Sur Coast (Hwy 1 Mile Marker 58.3-SLO county line)

None

Number of Ambulance Vehicles in Fleet: None --~~----------------

Average Number of Ambulances on Duty at 12:00 p.m. (noon) on any Given Day: None

System Available 2417 Service:

IZl Yes 0 No 0 Transport D Ground ~ Non-Transport 0Air D Water

If Public: If Air: Air Classification:

Deity ~ County D Rotary D Auxiliary Rescue D State 0 Federal 0 Fixed Wing 0 Air Ambulance 0 Fire District 0 ALS Rescue

0 BLS Rescue

Transporting Agencies _ _ _ Total number of transports _ _ _ Number of emergency transports _ __ Number of non-emergency transports


22

_______ Total number of transports _ _____ Number of emergency transports _ _____ Number of non-emergency transports


County: MONTEREY-03

Provider: Cachagua Fire Protection District

Address: PO Box 2090, Carmel Valley, 93924

Phone#: {831 } 659-7700


0 Yes~ No IZl Yes 0 No

Ownership; If Public:

(81 Public ~ Fire D Private 0 Law

D Other Explain:

_ ___ Total number of responses Number of emergency responses - - --

- - - - Number of non-emergency responses

_ ___ Total number of responses _ _ __ Number of emergency responses _ _ __ Number of non-emergency responses

EMS Plan 2012

Response Zone: Cachagua FPD

Number of Ambulances: None

Number of Ambulance Vehicles in Fleet: None


Svstem Available 2417 Service:

IZI Yes 0 No 0 Transport 0 Ground ~ Non-Transport 0 Air 0 Water


Deity ~County D Rotary D Auxiliary Rescue 0 State 0 Federal D Fixed Wing 0 Air Ambulance D Fire District D ALS Rescue

D BLS Rescue

Transporting Agencies _ _ _ Total number of transports ___ Number of emergency transports _ _ _ Number of non-emergency transports


23

____ Total number of transports _ ___ Number of emergency transports _ _ _ _ Number of non-emergency transports

EMS Plan 2012


County: MONTEREY -04 Response Zone: Tri-County FPD

Provider: Aromas Tri-County Fire Protection District Number of Ambulances : None ----~-----------------

Address: 2221 Garden Road, Monterey, 93940

Phone #: (831 ) 333-2600


D Yes ~ No ~ Yes D No


rg] Public ~ Fire 0 Private D Law

D Other Explain :

______ Total number of responses _ _ ___ Number of emergency responses _ _____ Number of non-emergency responses

- - - - Total number of responses ---- Number of emergency responses _ ___ Number of non-emergency responses

Number of Ambulance Vehicles in Fleet: None --~~-----------------

Average Number of Ambulances on Duty at 12:00 p.m. (noon) on any Given Day: --'--N~o.:....:.ne.;:.._ ______________ _

SY§tem Available 24/7 Service:

~ Yes D No 0 Transport D Ground rg] Non-Transport 0 Air 0 Water


0 City D County D Rotary D Auxiliary Rescue D State 0 Federal D Fixed Wing D Air Ambulance [8J Fire District D ALS Rescue

0 BLS Rescue

Transporting Agencies

--- Total number of transports - - - Number of emergency transports _ _ _ Number of non-emergency transports

Air Ambulance Servjces

24

_ __ Total number of transports _______ Number of emergency transports ______ Number of non-emergency transports


County: MONTEREY -05

Carmel Highlands Fire Protection District Provider: (CALFIRE Contracted)


Phone#: (831) 333-2600


0 Yes IXl No [g) Yes 0 No


IZJ Public IZI Fire 0 Private 0 Law

D Other Explain:

- ----- Total number of responses

- ----- Number of emergency responses

- ----- Number of non-emergency responses

______ Total number of responses ______ Number of emergency responses ______ Number of non-emergency responses

EMS Plan 2012

Response Zone: Carmel Highlands FPD

Number of Ambulances: None --~~------------------

Number of Ambulance Vehicles in Fleet: None --~~-----------------

Average Number of Ambulances on Duty at 12:00 p.m. (noon) on any Given Day: ___ N....:.o_n-=-e ________________ __

S)!stem Available 24/7 Service:

IZJ Yes 0 No 0 Transport 0 Ground t:8J Non-Transport 0Air 0 Water

If Public: .!!.8ir:. Air Classification:

0 City 0 County D Rotary 0 Auxiliary Rescue 0 State 0 Federal D Fixed Wing D Air Ambulance 1ZJ Fire District 0 ALS Rescue

0 BLS Rescue

Transporting Agencies _____ Total number of transports _____ Number of emergency transports ____ Number of non-emergency transports


25

_____ Total number of transports ______ Number of emergency transports

Number of non-emergency transports -----


County: MONTEREY-06

Cypress Fire Protection District Provider: (CALFlRE Contracted)

Address: 2221 Garden Road, Montere:r. 93940

Phone#: {831} 333-2600


0 Yes [gl No ~ Yes D No


lZ1 Public [8J Fire 0 Private D Law

0 Other Explain:

_ ___ Total number of responses _ ___ Number of emergency responses _ _ _ _ Number of non-emergency responses

_ _ _ _ Total number of responses _ _ __ Number of emergency responses _ _ _ _ Number of non-emergency responses

EMS Plan 2012

Response Zone: Cypress FPD





~ Yes D No D Transport D Ground cgj Non-Transport 0Air D Water


Deity 0 County 0 Rotary 0 Auxiliary Rescue D State 0 Federal 0 Fixed Wing D Air Ambulance cgj Fire District 0 ALS Rescue

0 BLS Rescue


- - - Total number of transports - -- Number of emergency transports _ _ _ Number of non-emergency transports


26

_ _ _ Total number of transports _ _ _ _ Number of emergency transports

Number of non-emergency transports ----


County : MONTEREY -07

Pebble Beach Community Services Provider; District {CALFIRE Contracted}

31 01 Forrest Lake Road, Pebble Beach, Address: 93953

Phone #: (831 } 373-1274

Written Contract : Medical Director:

0 Yes~ No ~ Yes 0 No


[8] Public ~ Fire 0 Private 0 Law

0 Other Explain:

_ ___ Total number of responses _ ___ Number of emergency responses _ _ _ _ Number of non-emergency responses

_ _ __ Total number of responses _ _ _ _ Number of emergency responses _ _ _ _ Number of non-emergency responses

EMS Plan 2012

Response Zone: Pebble Beach CSD





C8J Yes 0 No 0 Transport 0 Ground ~ Non-Transport 0Air 0 Water


Deity 0 County 0 Rotary 0 Auxiliary Rescue D State 0 Federal 0 Fixed Wing 0 Air Ambulance ~ Fire District 0 ALS Rescue

0 BLS Rescue

Transporting Agencies _ _ _ Total number of transports

Number of emergency transports Number of non-emergency transports

A ir Ambulance Services

- - - - Total number of transports - - -- Number of emergency transports _ _ _ _ Number of non-emergency transports

27



Provider: CALFIRE (City of Soledad)

Address: 2221 Garden Road, Monterey_, 93940

Phone#: {831 } 333-2600


0 Yes [8] No [8] Yes 0 No


[8] Public [8] Fire 0 Private 0 Law

D Other Explain:

_ ___ Total number of responses ____ Number of emergency responses ___ _ Number of non-emergency responses

_ ___ Total number of responses _ ___ Number of emergency responses ____ Number of non-emergency responses

EMS Plan 2012

Response Zone: City of Soledad



Average Number of Ambulances on Duty at 12:00 p.m. {noon) on any Given Day: None


[8] Yes 0 No D Transport 0 Ground [8] Non-Transport 0Air 0 Water


[g) City 0 County 0 Rotary 0 Auxiliary Rescue 0 State D Federal 0 Fixed Wing 0 Air Ambulance 0 Fire District 0 ALS Rescue

0 BLS Rescue


--- Total number of transports --- Number of emergency transports ___ Number of non-emergency transports


- - - - Total number of transports ---- Number of emergency transports _ ___ Number of non-emergency transports

28

EMS Plan 2012


County: MONTEREY-09 Response Zone: SOMOCO District

Provider: CALFIRE (South Monterey Count:tw..) _ _ _ Number of Ambulances: None --~~-----------------


Phone#: {831) 333-2600


D Yes~ No IZI Yes D No


1Z1 Public ~ Fire 0 Private 0 Law

0 Other Explain:

_ _____ Total number of responses ___ ___ Number of emergency responses ___ __ Number of non-emergency responses

--- - Total number of responses ---- Number of emergency responses

- --- Number of non-emergency responses

Number of Ambulance VehicJes In Fleet: None --~~---------------

Average Number of Ambulances on Duty at 12:00 p.m. (noon) on any Given Day: __ .:...:N~o.;..:.ne=---------------

Svstem Available 24/7 Service:

~ Yes D No D Transport 0 Ground ~ Non-Transport 0Air 0 Water


0City 0 County 0 Rotary 0 Auxiliary Rescue D State 0 Federal 0 Fixed Wing 0 Air Ambulance cgj Fire District D ALS Rescue

0 BLS Rescue


--- Total number of transports - -- Number of emergency transports _ __ Number of non-emergency transports


--- Total number of transports ------ Number of emergency transports _ ___ Number of non-emergency transports

29



Provider: CALSTAR

Address: 4922 Baile~ Lao~, McClellan, 95652

Phone#: {916} 921-4000


~ Yes D No [8] Yes D No


0 Public 0 Fire

~ Private 0 Law D Other Explain:

---- Total number of responses

- - - - Number of emergency responses - - - - Number of non-emergency responses

463 Total number of responses -----'---'-_ _ 4_6;_..;:3_ Number of emergency responses ___ _ Number of non-emergency responses

EMS Plan 2012

Response Zone: Montere~ Count~

Number of Ambulances : 5 Responding to Monterey __


Average Number of Ambulances on Duty at 12:00 p.m. (noon) on any Given Day : 8

System Available 24/7 Service:

~ Yes D No ~ Transport 0 Ground 0 Non-Transport ~ Air D Water

tf Public: If Air: Air Classification:

0 City 0 County ~ Rotary 0 Auxiliary Rescue 0 State 0 Federal [gl Fixed Wing ~ Air Ambulance 0 Fire District 0 ALS Rescue

0 BLS Rescue

Transporting Agencies ___ Total number of transports ___ Number of emergency transports _ _ _ Number of non-emergency transports


30

___ 3""""4.;....:8'- Total number of transports ___ 3.:;...48,;..;:__ Number of emergency transports _ _ _ _ Number of non-emergency transports

TABLE. 8 - Resource Directory

County: MONTEREY-11

Provider: Camp Roberts Emergenc;t Services

Headquarters Camp Roberts, HWY 101, Address: Building 4050, Camp Roberts, 93451

Phone#: {805} 238-8220


0 Yes [gl No D Yes 0 No


[8J Public ~ Fire 0 Private D Law

0 Other Explain:

_ ___ Total number of responses _ ___ Number of emergency responses ____ Number of non-emergency responses

_ _ _ _ Tota l number of responses _ _ __ Number of emergency responses ____ Number of non-emergency responses

EMS Plan 2012

Response Zone: Camp Roberts




S)lstem Available 24/7 Service:

[gJ Yes D No 0 Transport 0 Ground IZl Non-Transport 0 Air 0 Water


D e ity 0 County D Rotary 0 Auxiliary Rescue [8] State 0 Federal 0 Fixed Wing 0 Air Ambulance D Fire District 0 ALS Rescue

0 BLS Rescue


:----Total number of transports

--- Number of emergency transports _ __ Number of non-emergency transports


31

_ _ _ _ Total number of transports _ ___ Number of emergency transports _ ___ Number of non-emergency transports


County: MONTEREY-12

Provider: California Highway Patrol (CHP-70)

Address: 5020 Wing Way, Paso Robles, 93446

Phone#: (805) 239-3553


0 Yes 1:8] No 1:8] Yes 0 No

OwnershiR: If Public:

[8J Public D Fire 0 Private [8J Law

0 Other Explain:

----- Total number of responses ---- Number of emergency responses ____ Number of non-emergency responses

_ __ 1'-4'-- Total number of responses _ __ 1-:4:- Number of emergency responses _ _ ___;0:..._ Number of non-emergency responses

EMS Plan 2012

Response Zone: Monterey County

Number of Ambulances: 1 --~-------------------

Number of Ambulance Vehicles in Fleet: 1 Helicopter (CHP-70)

Average Number of Ambulances on Duty at 12:00 p.m. (noon) on any Given Day: __ ....:..1 __________________ _


1:8] Yes 0 No ~ Transport 0 Ground 0 Non-Transport iZ1 Air D Water

If Public: If Air: Air Classific§ttion:

Deity D County [8J Rotary 0 Auxiliary Rescue [g) State 0 Federal 0 Fixed Wing 0 Air Ambulance 0 Fire District [g) ALS Rescue

0 BLS Rescue


--- Total number of transports - - - Number of emergency transports _ _ _ Number of non-emergency transports

Air Ambulance Services ----~9- Total number of transports ---~9- Number of emergency transports _ ___ 0_ Number of non-emergency transports

32


County: MONTEREY-1 3

Provider: City of Carmel Ambulance

Address: Box CC, Carmel, 93921

Phone#: (831 ) 620-2000


~ Yes 0 No ~ Yes 0 No


[8] Public D Fire 0 Private 0 Law

[;gl Other Explain: See Table 12

- --=-84...;_1'-- Total number of responses ___ 8::_4.:...:1~ Number of emergency responses ___ ___:0:._ Number of non-emergency responses

_ ___ Total number of responses _____ Number of emergency responses

Number of non-emergency responses

EMS Plan 2012

Response Zone: Carmel-by-the-Sea

Number of Ambulances: 2 --=--------------------Number of Ambulance Vehicles in Fleet: _ ::.2 ______________ ~---

Average Number of Ambulances on Duty at 12:00 p.m. (noon) on any Given Day: _....:.1 __________________ _


~ Yes D No ~ Transport ~ Ground 0 Non-Transport 0Air 0 Water


[8] City D County 0 Rotary 0 Auxiliary Rescue 0 State 0 Federal 0 Fixed Wing 0 Air Ambulance 0 Fire District 0 ALS Rescue

D BLS Rescue

Transporting Agencies 585 Total number of transports -----=:-=--::--

_ _ 58_5_ Number of emergency transports -----'0'-- Number of non-emergency transports


33

______ Total number of transports ______ Number of emergency transports _ _____ Number of non-emergency transports



Provider: City of Marina Fire Department

Address: 211 Hillcrest Avenue, Marina, 93933

Phone#: {831 } 884-1210




1:8] Public fZl Fire 0 Private 0 Law

0 Other Explain:

_ _ _ _ Total number of responses ____ Number of emergency responses


_ _ _ _ Total number of responses ____ Number of emergency responses ____ Number of non-emergency responses

EMS Plan 2012

Response Zone: City of Marina





~ Yes D No D Transport 0 Ground ~ Non-Transport 0Air 0 Water


[2J City 0 County 0 Rotary 0 Auxiliary Rescue 0 State 0 Federal 0 Fixed Wing D Air Ambulance 0 Fire District 0 ALS Rescue

0 BLS Rescue

Transporting Agencies _ __ Total number of transports

Number of emergency transports - - -- - - Number of non-emergency transports


34

_ ___ Total number of transports _ ___ Number of emergency transports

Number of non-emergency transports - ---


County: MONTEREY-1 5

City of Monterey Fire Department (includes City of Carmel, Pacific Grove,

Provider: Sand City)

Address: 610 Pacific Street, Monterey, 93940

Phone#: (831 ) 646-3900


0 Yes r8J No ~ Yes D No


~ Public ~ Fire 0 Private D Law

D Other Explain:

_ ___ Total number of responses ____ Number of emergency responses


____ Total number of responses ____ Number of emergency responses ____ Number of non-emergency responses

Response Zone:


EMS Plan 2012

Cities of Monterey, Carmel, Sand, and Pacific Grove

None

Number of Ambulance Vehicles in Fleet: _.:...:N:.:::o:::n..::::e ______ ~--

Average Number of Ambulances on Duty at 12:00 p.m. (noon) on any Given Day : None


~ Yes 0 No 0 Transport 0 Ground ~ Non-Transport 0Air 0 Water


~City 0 County 0 Rotary 0 Auxiliary Rescue 0 State D Federal 0 Fixed Wing D Air Ambulance 0 Fire District D ALS Rescue

D BLS Rescue


- - - Total number of transports

- - - Number of emergency transports

- - - Number of non-emergency transports


35

_ _ _ _ Total number of transports _ _ _ _ Number of emergency transports _ _ __ Number of non-emergency transports


County: MONTEREY-16

Provider: Cit~ of Salinas Fire De[!artment

65 West Alisal Street; Suite 200, Salinas Address: 93901

Phone#: {831 } 758-7261


0 Yes~ No ~ Yes D No


[gl Public ~ Fire 0 Private 0 Law

D Other Explain:

_ ___ Total number of responses _ _ __ Number of emergency responses ____ Number of non-emergency responses

_ ___ Total number of responses ____ Number of emergency responses _ ___ Number of non-emergency responses

EMS Plan 2012·

Response Zone: City of Salinas





~ Yes 0 No 0 Transport 0 Ground ~ Non-Transport 0Air 0 Water


~City 0 County 0 Rotary D Auxiliary Rescue D State 0 Federal 0 Fixed Wing 0 Air Ambulance 0 Fire District 0 ALS Rescue

0 BLS Rescue

Transporting Agencies ___ Total number of transports ___ Number of emergency transports _ __ Number of non-emergency transports


- - - - Total number of transports - --- Number of emergency transports _ _ _ _ Number of non-emergency transports

36

EMS Plan 2012


Cities of Seaside & DelRey County: MONTEREY-17 Response Zone: Oaks

Provider: City of Seaside Fire Department Number of Ambulances: None

Address: 1635 Broadwal Avenue, Seaside, 93955 Number of Ambulance Vehicles in Fleet: None

Phone#: {831 } 899-6790


0 Yes IX! No lXI Yes D No

OwnershiR: If Public:

t81 Public IZl Fire 0 Private D Law

0 Other Explain:

- --- Total number of responses - - -- Number of emergency responses _ _ __ Number of non-emergency responses

___ _ Total number of responses Number of emergency responses - - - -

- - -- Number of non-emergency responses



lXI Yes 0 No 0 Transport 0 Ground rEJ Non-Transport 0Air 0 Water


IX! City 0 County 0 Rotary 0 Auxiliary Rescue 0 State 0 Federal 0 Fixed Wing 0 Air Ambulance D Fire District 0 ALS Rescue

0 BLS Rescue

Transporting A gencies _ _ _ Total number of transports ___ Number of emergency transports _ _ _ Number of non-emergency transports


37

____ Total number of transports _ ___ Number of emergency transports _ _ __ Number of non-emergency transports


County: MONTEREY-18

Provider: California Correctional Train ing Facilrty

Address: Cit~ of Soledad, 93960

Phone#: {831} 678-5922


~ Yes D No 0 Yes ~ No


~ Public IZl Fire D Private D Law

~ Other Explain: Corrections

____ Total number of responses _ ___ Number of emergency responses _ ___ Number of non-emergency responses

_ ___ Total number of responses Number of emergency responses

_ ___ Number of non-emergency responses

EMS Plan 2012

Response Zone: State Prison





~ Yes 0 No 0 Transport 0 Ground !8l Non-Transport 0Air 0 Water

If Public: If Air: Air Classification :

D e ity 0 County 0 Rotary D Auxiliary Rescue [8J State 0 Federal D Fixed Wing D Air Ambulance D Fire District 0 ALS Rescue

D BLS Rescue


--- Total number of transports

- - - Number of emergency transports --- Number of non-emergency transports


38

_ ___ Total number of transports _ _ _ _ Number of emergency transports _ _ __ Number of non-emergency transports


County: MONTEREY-19

Provider: Fort Hunter-Liggett Fire Department

Address: T-120 Infantry Road, Jolon, 93928

Phone#: {831 }386-2517


[gl Yes 0 No IZI Yes 0 No


IZJ Public ~ Fire 0 Private 0 Law

0 Other Explain:

__ 4..:...:5:..:8:.... Total number of responses _ _ 4..:...:5:..:8:.... Number of emergency responses ____ Number of non-emergency responses

____ Total number of responses ____ Number of emergency responses _ _ _ _ Number of non-emergency responses

EMS Plan 2012

Response Zone: FHL US Army Garrison

Number of Ambulances: 2



Svstem Available 24/7 Service:

~ Yes 0 No ~ Transport 1Z1 Ground 0 Non-Transport 0Air 0 Water

If Public: !f.Mr.:. Air Classification:

0City 0 County 0 Rotary 0 Auxiliary Rescue 0 State [8J Federal 0 Fixed Wing 0 Air Ambulance D Fire District D ALS Rescue

0 BLS Rescue

Transporting Agencies __ 8=-4- Total number of transports

84 Number of emergency transports - --'---_ __ Number of non-emergency transports


- --- Total number of transports

- - - - Number of emergency transports - --- Number of non-emergency transports

39


County: MONTEREY-20

Provider: Gonzales Volunteer Fire Department

Address: PO Box 647, Gonzales, 93926

Phone#: (831 ) 675-5000




1Zl Public 0 Fire 0 Private 0 Law

~ Other Explain: Public Safety

_____ Total number of responses _____ Number of emergency responses


_____ Total number of responses ____ _ Number of emergency responses _ ___ Number of non-emergency responses

Response Zone:

EMS Plan 2012

Cities of Gonzales and Gonzales Rural Fire District

Number of Ambulances: None --~~-----------------

Number of Ambu1ance Vehicles in Fleet: None --~~-----------------

Average Number of Ambulances on Duty at 12:00 p.m. (noon) on any Given Day: __ .:...:N:::::o.:..:.n:::..e ________________ _


~ Yes 0 No D Transport 0 Ground [g] Non-Transport 0 Air 0 Water


~City 0 County 0 Rotary 0 Auxiliary Rescue 0 State 0 Federal 0 Fixed Wing 0 Air Ambulance [gl Fire District 0 ALS Rescue

D BLS Rescue


---- Total number of transports --- - Number of emergency transports

- - - Number of non-emergency transports


40

_ ____ Total number of transports _ ____ Number of emergency transports _ ____ Number of non-emergency transports


County: MONTEREYw21

Provider: Greenfield Volunteer Fire Department

Address: 380 Oak Avenue, Greenfield, 93927

Phone#: (831 ) 674-5484


0 Yes ~ No ~ Yes D No


~ Public D Fire 0 Private 0 Law

~ Other Explain: Public Safety

_______ Total number of responses _____ Number of emergency responses _ _ __ Number of nonwemergency responses

_____ Total number of responses _ ____ Number of emergency responses

Number of non-emergency responses ------

Response Zone:


EMS Plan 2012

Cities of Greenfield and Greenfield Rural Fire District

None

Number of Ambulance Vehicles In Fleet: None -~~----------------


S)lstem Available 24/7 Service:

cgJ Yes D No D Transport 0 Ground ~ Non-Transport 0Air D Water


(8] City 0 County 0 Rotary 0 Auxiliary Rescue 0 State 0 Federal 0 Fixed Wing 0 Air Ambulance 1Zl Fire District 0 ALS Rescue

0 BLS Rescue

Transporting Agencies ____ Total number of transports

Number of emergency transports - - -------- Number of non-emergency transports


41

____ _ Total number of transports ____ Number of emergency transports

Number of non-emergency transports - - - -


County: MONTEREY-22

Provider: King City Volunteer Fire DeJ:)artment

Address: P.O. Box 2550, King City, 93930

Phone#: (831 ) 385-3343


D Yes [gl No ~ Yes D No


1Z1 Public ~ Fire 0 Private D Law

0 Other Explain:

_ _ _ _ Total number of responses ___ _ Number of emergency responses _ ___ Number of non-emergency responses

___ _ Total number of responses ____ Number of emergency responses _ _ __ Number of non-emergency responses

EMS Plan 2012

Response Zone: King City

Number of Ambulances: _ .:...:N:..:::o.:..:.ne;::._ ___ _ ___ _

Number of Ambulance Vehicles in Fleet: _.:...:N:..:::o.:...:.ne;::__ _ ______ _

Average Number of Ambulances on Duty at 12:00 p.m. (noon) on any Given Day: _.:...:N:..:::o.:...:.ne;::___~------


~ Yes D No D Transport D Ground ~ Non-Transport 0Air 0 Water


~City D County 0 Rotary D Auxiliary Rescue 0 State 0 Federal D Fixed Wing D Air Ambulance D Fire District D ALS Rescue

D BLS Rescue


Number of emergency transports ------ Number of non-emergency transports


--- Total number of transports - --- Number of emergency transports _ ___ Number of non-emergency transports

42


County: MONTEREY-23

Provider: Mercy Air Service

Address: 1670 Miro Way, Rialto, 92376

Phone #: {909} 829-7030


IZI Yes D No ~ Yes 0 No

Owners hi~: If Public:

0 Public 0 Fire 0 Private D Law

0 Other Explain:

- - - - Total number of responses

- --- Number of emergency responses - - - - Number of non-emergency responses

_4.:....::8=----- Total number of responses _4.:....::6=---- - Number of emergency responses _2 _ _ _ Number of non-emergency responses

EMS Plan 2012

Response Zone; Monterey County

Number of Ambulances: 1




IZl Yes D No ~ Transport 0 Ground 0 Non-Transport ~ Air 0 Water


Deity 0 County ~ Rotary 0 Auxiliary Rescue D State D Federal 0 Fixed Wing ~ Air Ambulance 0 Fire District 0 ALS Rescue

D BLS Rescue

Trans~orting Agencies ___ Total number of transports _ _ _ Number of emergency transports _ __ Number of non-emergency transports

Air Ambulance Services 18 Total number of transports - - - -

_1_7 _ __ Number of emergency transports _ 1 ___ Number of non-emergency transports

43


County: MONTEREY-24

Provider: Mid Coast Fire Brigade

Address : 33841 Palo Colorado Can:ton, 93923

Phone #: {831 ) 624-8287


0 Yes !81 No IZJ Yes D No


~ Public ~ Fire D Private 0 Law

0 Other Explain:

_ _ _ _ Total number of responses _ _ __ Number of emergency responses


_ ___ Total number of responses ___ _ Number of emergency responses ____ Number of non-emergency responses

I

EMS Plan 2012

Response Zone: Mid Coast

Number of Ambulances : None




IZJ Yes D No 0 Transport 0 Ground ~ Non-Transport 0Air 0 Water


0City ~County 0 Rotary D Auxiliary Rescue D State 0 Federal 0 Fixed Wing 0 Air Ambulance 0 Fire District 0 ALS Rescue

0 BLS Rescue


Number of emergency transports - - -Number of non-emergency transports


44

_ _ _ _ Total number of transports Number of emergency transports - - - -

- - -- Number of non-emergency transports


County: MONTEREY-25

Provider: Monterey County Parks

Address: 2610 San Antonio Road, Bradley, 93426

Phone#: (831 ) 472-2311


D Yes [gl No [gl Yes D No


~ Public D Fire D Private ~ Law

D Other Explain:

_____ Total number of responses Number of emergency responses

_____ Number of non-emergency responses

_ ___ Totaf number of responses _____ Number of emergency responses _ ___ Number of non-emergency responses

EMS Plan 2012

Response Zone: Monterey County Parks

Number of Ambulances: None --~~-----------------

Number of Ambulance Vehicles in Fleet: __ :....::N..:::.o:..:.:ne:::._ _____ ~-------

Average Number of Ambulances on Duty at 12:00 p.m. (noon) on any Given Day: --~N:.-=o.:....:n.::..e ________________ _


~ Yes D No D Transport 0 Ground rzJ Non-Transport 0Air D Water


0City ~County 0 Rotary D Auxiliary Rescue D State 0 Federal 0 Fixed Wing D Air Ambulance D Fire District D ALS Rescue

D BLS Rescue

Transporting Agencies _ _ _ Total number of transports ___ _ Number of emergency transports _ __ Number of non-emergency transports


45

_ __ Total number of transports _ _____ Number of emergency transports

Number of non-emergency transports - ----

EMS Plan 2012


County: MONTEREY-26 Response Zone: See Table 12

Monterey County Regional Fire Protection Provider: District/Carmel Valley Fire Ambulance Number of Ambulances: 4j Type Ill Ambulances)

Address: 19900 Portola Drive, Salinas, 93908

Phone#: (831) 455-1828


rgJ Yes 0 No ~ Yes 0 No


~ Public IX] Fire D Private D Law

0 Other Explain:

1212 Total number of responses 1212 Number of emergency responses

_ _ ____:0::.._ Number of non-emergency responses

_ ___ Total number of responses ____ Number of emergency responses _ ___ Number of non-emergency responses

Number of Ambulance Vehicles in Fleet: ____:4 _ _________ _

Average Number of Ambulances on Duty at 12:00 p.m. (noon) on any Given Day:

1 (1 dedicated 24/7; 3 crossstaffed with medic engine)


IX] Yes 0 No ~ Transport ~Ground 0 Non-Transport 0Air 0 Water


Deity 0 County 0 Rotary D Auxiliary Rescue D State 0 Federal 0 Fixed Wing 0 Air Ambulance 1:8J Fire District D ALS Rescue

0 BLS Rescue

Transporting Agencies 717 Total number of transports - --

_ ___;_71~7:-- Number of emergency transports _ _ ......:0::.._ Number of non-emergency transports


- --- Total number of transports --- - Number of emergency transports ___ _ Number of non-emergency transports

46


County: MONTEREY-27

Provider: Monterey Peninsula Airport District

Address: 150 Olmsted Way, Monterey, 93940

Phone#: (831) 648-7008

Written Co ntr act : Medical Director:

0 Yes 1Z1 No IZI Yes 0 No


[ZJ Public IZJ Fire D Private D Law

0 Other Explain:

----- Total number of responses

----- Number of emergency responses - - -- Number of non-emergency responses

____ Total number of responses ______ Number of emergency responses

Number of non-emergency responses -------

EMS Plan 2012.

Response Zone: Monterey Peninsula Airport

Number of Ambulances: None ------------------------Number of Ambulance Vehicles in Fleet: None

--~~-----------------


--~~------------------


~ Yes 0 No D Transport 0 Ground ~ Non~ Transport 0Air 0 Water

If Public: If Air : Air Classification:

0City D County D Rotary D Auxiliary Rescue 0 State D Federal D Fixed Wing D Air Ambulance IZ! District 0 ALS Rescue

0 BLS Rescue


- - - Total number of transports - - - Number of emergency transports ______ Number of non-emergency transports


----- - Total number of transports - - - - Number of emergency transports ___ _ _ Number of non-emergency transports

47

EMS Plan 2012


County: MONTEREY-28 Response Zone: North County Fire PO

Provider: North Count:t Fire Protection District Number of Ambulances: None

Address: 11200 Speegle Street, Castroville, 95012 Number of Ambulance Vehicles in Fleet: None

Phone#: {831 } 633-2578


0 Yes 1Z1 No IZI Yes 0 No

Ownershi~: If Public:

~ Public (8) Fire 0 Private 0 Law

D Other Explain:

_ _ __ Total number of responses _ _ __ Number of emergency responses _ _ _ _ Number of non-emergency responses

- - - - Total number of responses

- --- Number of emergency responses - --- Number of non-emergency responses


System Available 24n Service:

[gJ Yes 0 No 0 Transport 0 Ground (8) Non-Transport 0Air 0 Water

If Public: tf Air: Air Classification:

Deity 0 County 0 Rotary 0 Auxiliary Rescue D State 0 Federal 0 Fixed Wing D Air Ambulance ~ Fire District D ALS Rescue

0 BLS Rescue

Transporting Agencies _ _ _ Total number of transports ---,,...-- Number of emergency transports _ __ Number of non-emergency transports


48

_ ___ Total number of transports ____ Number of emergency transports

Number of non-emergency transports - ---


County: MONTEREY-29

Provider: Presidio of Montere~ Fire DeQartment

Bldg #4400 General Jim Moore Blvd, Address: Seaside, 93955

Phone#: {831 } 242-7702


0 Yes [gl No [gl Yes 0 No


[gl Public [gl Fire 0 Private 0 Law

D Other Explain:

_ _ __ Total number of responses _ ___ Number of emergency responses ____ Number of non-emergency responses

_ ___ Total number of responses _ _ _ _ Number of emergency responses _ _ _ _ Number of non-emergency responses

EMS Plan 2012

Response Zone: Presidio of Monterey





~ Yes D No 0 Transport 0 Ground lZl Non-Transport 0Air 0 Water


0City 0 County D Rotary 0 Auxiliary Rescue 0 State [gJ Federal 0 Fixed Wing 0 Air Ambulance 0 Fire District 0 ALS Rescue

D BLS Rescue


Number of emergency transports - - -- - - Number of non-emergency transports


49

_ ___ Total number of transports ____ Number of emergency transports _ ___ Number of non-emergency transports

EMS Plan 2012


County: MONTEREY-30 Response Zone: Monterey County

Provider: REACH Air Medical Services Number of Ambulances: N/A

451 Aviation Blvd, Suite 101, Santa Rosa, Address: 95403

Phone#: {707} 324-2400


~ Yes 0 No ~ Yes 0 No


0 Public 0 Fire 0 Private 0 Law

0 Other Explain:

---- Total number of responses

---- Number of emergency responses - - -- Number of non-emergency responses

_1.:....:3:..__ __ Total number of responses ---'0 ___ Number of emergency responses ----'-13.;__ __ Number of non-emergency responses

Number of Ambulance Vehicles In Fleet: N/A

Average Number of Ambulances on Duty at 12:00 p.m. (noon) on any Given Day: N/A


~ Yes 0 No rg] Transport 0 Ground 0 Non-Transport ~ Air 0 Water


Deity 0 County ~ Rotary 0 Auxiliary Rescue 0 State 0 Federal rg] Fixed Wing [g) Air Ambulance 0 Fire District 0 ALS Rescue

0 BLS Rescue

Transporting Agencies ___ Total number of transports _ _ _ Number of emergency transports _ _ __ Number of non-emergency transports

Air Ambulance Services _13 _ _ _ Total number of transports _..:.0 _ __ Number of emergency transports _1.;_3=------ Number of non-emergency transports

50


County: MONTEREY-31

Provider: Spreckels Volunteer Fire Company

Address: 38 Spreckels Blvd, Spreckels, 93962

Phone#: {831 } 455-2211


0 Yes 1:81 No 1:81 Yes D No

Ownershi~: If Public:

~ Public IZl Fire 0 Private 0 Law

D Other Explain:

_ ___ Total number of responses _ _ __ Number of emergency responses _ _ __ Number of non-emergency responses

____ Total number of responses Number of emergency responses ----

- - - - Number of non-emergency responses

EMS Plan 2012

Response Zone: Spreckels District





1:81 Yes D No D Transport 0 Ground ~ Non-Transport 0Air 0 Water


0City 0 County D Rotary D Auxiliary Rescue 0 State D Federal 0 Fixed Wing 0 Air Ambulance D Fire District D ALS Rescue 1:8] Fire Company/Brigade D BLS Rescue


--- Total number of transports - - - Number of emergency transports _ ___ Number of non-emergency transports


- --- T otar number of transports - --- Number of emergency transports _ ___ Number of non-emergency transports

51

EMS Plan 2012

TABLE 12-Ambulance Zone Summary (REVISED 11/27/13)

TABLE 12: AMBULANCE ZONE SUMMARY

Local EMS Agency or County Name: Monterey County EMS Agency

Area or Subarea (Zone) Name or Title: #1 Monterey County Exclusive Operating Area

Name of Current Provider(s): AMR-West

Area or Subarea (Zone) Geographic Description: The geographic and legal boundaries of Monterey County

Statement of Exclusivity (Exclusive or Non~Exclusive {HS 1797.61): Exclusive via competitive process with Board approval

Type of Exclusivity ("Emergency Ambulance," "ALS," or "LALS'' [HS 1797.85]): Emergency Ambulance.

Level of Exclusivity ("Emergency Ambulance," "ALS," or "LALS" [HS 1797.85)): All ambulance services shall be provided at the advanced life support (ALS) level. Additionally, the CONTRACTOR shall furn ish (a) stand-by coverage for special events; (b) inter-facility transfers; (c) critical care transport ; (d) long-distance transfers originating within the County; (e) reasonable mutual aid services; (f) special contract services; (g) emergency standby services; and (h) communications and medical dispatch services.

Method to achieve exclusivity, if applicable (HS 1797.224): Monterey County has established an Exclusive Operating Area (EOA) that encompasses the geographic area defined as Monterey County (border-to-border). Within the geographic limits of the County, certain federal property, the City of Carmel, and the Carmel Valley Fire Protection District (Carmel Regional Fire Ambulance) are exempted or carved from the EOA. The EOA provider is selected by competitive bid process. Last competitive bid was completed in 2009; implemented January 31 , 2010.

TABLE 12 -Ambulance Zone Summary

N

W~E 0 3.75 7.5 15Miles

'""'""' ....... ..,r C-tyHeollh ~M ~· P~oW~r.-a-- - UN.._, c....,rrn.e.a .......... IIMiitiPIMI'MIIU!M!I CAI¥ ~lt11

EMS Plan 2012

/ Map 1

EMS Boundaries legend

56

EMS Plan 2012

TABLE 12-Ambulance Zone Summary (REVISED 11/ 27/13}

Local EMS Agency or County Name: Monterey County EMS Agency

Area or Subarea (Zone) Name or Title: #2 Carmel by the Sea

Name of Current Provider(s): Carmel Fire Ambulance {CFA) Include company name(s) and length of operation (uninterrupted) in specified area or subarea.

Area or Subarea {Zone) Geographic Description: City of Carmel by the Sea

Statement of Exclusivity (Exclusive or Non-Exclusive [HS 1797.6]): Include intent of local EMS agency and board action. Non-exclusive

Type of Exclusivity (" Emergency Ambulance," " ALS," or ~~LALS" [HS 1797.85]):

Method to achieve exclusivity, if applicable (HS 1797.224): If grandfathered, pertinent facts concerning changes in scope and manner of service. Description of current provider including brief statement of uninterrupted service with no changes to scope and manner of service to zone. Include chronology of all services entering or leaving zone. name or ownership changes, service level changes, zone area modifications, or other changes to arrangements for service.

If competitively-determined, method of competition, intervals, and selection process. Attach copy/draft of last competitive process used to select provider or providers.

N/A

TABLE 12- Ambulance Zone Summary

Pebble Bea.ch

City of Ccu::mel-bythe-sea Jmibulano e Zone-Defined CMLF/CR66

Legend

c:J eMSs I:JAREROs

0 1.0® 2.000 4 .000 O.CIOO e.ooo F~

58

EMS Plan 2012

EMS Plan 2012

TABLE 12- Ambulance Zone Summary (REVISED 11/27/13)

Local EMS Agency or County Name: Monterey County EMS Agency-

Area or Subarea (Zone) Name or Title: #3 Carmel Valley Fire Protection District- Monterey County Fire Protection District

Name of Current Provider(s): Monterey County Regional Fire Protection District (MCRFD) Include company name(s) and length of operation (uninterrupted) in specified area or subarea.

Area or Subarea (Zone) Geographic Description: East to San Clemente Dr., West to Rancho San Carlos Rd., to Santa Lucia Preserve, North to Valley Hills.

Statement of Exclusivity (Exclusive or Non-Exclusive [HS 1797.6]): Include intent of local EMS agency and board action. Non-exclusive

Type of Exclusivity ("Emergency Ambulance, " " ALS," or "LALS" [HS 1797.85]):

Method to achieve exclusivity, if applicable (HS 1797.224): If grandfathered, pertinent facts concerning changes in scope and manner of service. Description of current provider including brief statement of uninterrupted service with no changes to scope and manner of service to zone. Include chronology of all services entering or leaving zone, name or ownership changes, service level changes, zone area modifications, or other changes to arrangements for service.

If competitively-determined, method of competition, intervals, and selection process. Attach copy/draft of last competitive process used to select provider or providers.

N/A

TABLE 12- Ambulance Zone Summary

, u._,.. ts.1\~ ....,_. ~ C:. l-..a ..... CA..--!1 • ...,........ ·~·l·tt..c.• ,...._,,,. ~

-i-e ~ ••• .....

60

EMS Plan 2012

City litnh$

District Boundary

Boundary of the Carmel Vai!W fPD Priot to July 2011

No1~· The Splle~ of lnlluen~ and Oir.ttid ll0Ufi<13JY are the ~ume

i=IRE PROTECTION OISTRICTS

MONTEREY COUNTY REGIONAL FIRE PROTECTION DISTRICT

EMS Plan 2012

TABLE 13- Trauma System Status Report (2013)

TABLE 12: Trauma System Status Report (2013)

Trauma System Summary:

Currently , the County system of care for trauma patients is to air transport the majority of trauma patients to Santa Clara County Trauma Centers. Mechanic-Anatomic-Physiologic (MAP) triage criteria (algorithm) are used within Monterey County to determine injury severity and when the patient meets MAP criteria, a helicopter is dispatched and patients are transported to Santa Clara County.

Monterey County EMS seeks to improve the care provided to trauma patients in its service area through an inclusive trauma care system. The proposed system design is:

• The designation of a level II Trauma Center.

• Patients meeting field triage criteria will be transported to a Level II Trauma Center in county when possible;

• Appropriate patients will be transported to a designated pediatric Trauma Center in another county;

• A quality improvement process will be established which includes appropriate stakeholders;

• Training will be provided for prehospital and hospital personnel regarding the changes to system policies including field trauma triage and hospital destination;

• Appropriate policies will be adopted for implementation and operation of the system; and,

• Trauma patients within 45 minutes (via ground or air) of the Monterey County Level II Trauma Center will be transported directly to that facility. All other patients will be transported to the destination determined by the Level II Trauma Center.

Changes in Trauma System : In 2011 . the updated County Trauma plan was submitted and approved by the EMS Authority in -September. The trauma plan calls for designation of a single Level II Trauma Center, the 4 hospitals in Monterey County were surveyed to determine interest in becoming the designated facility with 2 of the hospitals indicating a desire to pursue Level II Trauma Center designation . Due to multiple hospital interest, the Agency released a Request for Qualifications (RFQ) to determine the most appropriate hospital for designation. Two (2} letters of intent were received from hospitals located with in Monterey County stating their intent to submit proposals for designation as a Level II Trauma Center.

Number and designation Level of Trauma Centers: N/A

61

TABLE 13- Trauma System Status Report (2013)

Trauma Svstem Goals and Objectives (calendar revised June 2012): Issue RFQ Proposal Submittal Deadline Independent Review Panel Facility Review Establishment of MOU Designation Trauma System Start Up

Changes to Implementation Schedule: Implementation schedule had not been previously established.

System Performance Improvement: N/A

EMS Plan 2012

May 16, 2012 August 16, 2013 September 2013 November 15, 2013 December 5, 2014 January 1, 2015

Progress on Addressing EMS Authority Trauma System Plan Comments: All recommendations were noted upon receipt of approval letter, dated September 29, 2011 , and will be implemented during the 14 month start-up' from determination to designation.

Other Issues: N/A

62

Monterey County - emsa.ca.gov · PDF fileBoard of Supervisors Resolution Monterey County Board...

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